Study on correlation between traditional Chinese medicine constitution and self-care ability of elderly in community
Objective To explore the relationship between the constitution of traditional Chinese medicine(TCM)and self-care ability of the elderly in community,and to provide reference for the health management of TCM for the elderly.Methods A total of 38 433 elderly people aged 60 years and above who participated in the health examination in a city of Henan province from January 2019 to Nivember 2019 were selected as the research objects.The data of gen-der,marital status,age,physical exercise frequency,disease history,self-care ability score,TCM constitution identification results and other data of the research objects were collected.Through the difference analysis between groups and multivariate logistic regression analysis,the influence of TCM constitution on self-care ability was explored,and the model was further adjusted to verify the stability of the re-search results.Results Among 38 433 subjects,37 014(96.3％)were normal and 1 419(3.7％)were dependent.The overall distribution of TCM constitution was 6 982 cases(18.2％)of balanced constitution,31 451 cases(81.8％)of biased constitution,12 149 cases(31.6％)of phlegm-dampness constitution,5 179 cases(13.5％)of Qi-deficient constitution,4 999 cases(13.0％)of Yin-deficient constitution,and 3 375 cases(8.8％)of Yang de-ficient constitution.There were 2 837 cases of stagnant blood constitution(7.4％),2 490 cases of damp-heat consti-tution(6.4％),244 cases of stagnant Qi constitution(0.6％)and 182 cases of inherited special constitution(0.5％).The results of multivariate logistic regression analysis showed that:balanced constitution(OR=0.806,95％CI:O.671-0.969),Qi-deficient constitution(OR=1.950,95％CI:1.668-2.281),advanced age(OR=7.029,95％CI:5.956-8.296),no spouse(OR=1.203,95％CI:1.060-1.365),physical exercise frequency(OR=2.243,95％CI:1.340-3.757),dietary habits(OR=1.230,95％CI:1.079-1.403),abnormal hearing(OR=3.435,95％CI:2.919-4.041),obesity or low weight(OR=1.460,95％CI:1.115-1.912),hypertension(OR=1.604,95％CI:1.429-1.801)and diabetes mellitus(OR=1.473,95％CI:1.282-1.692)were the influencing factors of self-care ability of the elderly in community.After adjusting for age,marital status,frequency of physical exercise,eating habits,hearing status,BMI,hypertension and diabetes,the correlation results of balanced constitution,Qi-de-ficient constitution and self-care ability were robust,and balanced constitution reduced the risk of self-care ability de-pendence(OR=0.655,95％CI:0.556-0.771).Qi-deficient constitution increased the risk of self-care ability de-pendence(OR=2.102,95％CI:1.838-2.403).Conclusion Balanced constitution is a protective constitution for the ability of self-care of the elderly in community,and Qi-deficient constitution is a dangerous constitution.Attention should be paid to the maintenance and promotion of the balanced constitutiony of the elderly,focusing on the elderly with Qi-deficient constitution,living alone,hearing impairment and suffering from chronic diseases,so as to provide a sci-entific basis for improving the health management services of traditional Chinese medicine for the elderly in our country.
Traditional Chinese medicine body constitutionSelf-care abilityElderlyCommunity
NETL
NSTL
万方数据
